The Interface Between the Psychodynamic and Behavioral Therapies


Book Description

It is sobering to reflect that it has been nearly fifty years since Thomas French's article on the "Interrelations between Psychoanalysis and the Experimental Work of Pavlov," representing the first psychoanalyst to bridge the gap between the theories of conditioning, was published. In hjs paper French clearly delineated the manner and directions in which these two points of view might enrich each other. Regrettably, his open ness to new ideas has not been characteristic of most "schools" of psychiatry thought, which have tended instead to develop an unfortu nate degree of insularity. This has occurred despite the obvious reality that the bio-social-psychological nature of man is such that no one theory or discipline is likely, in the foreseeable future, to explain, much less predict, all of the complexities of human behavior. All too often disputing theoreticians, like the fabled blind men describing the elephant, assume that the whole is just a gigantic magnification of the parts with which they are in contact. When treatment strategies are extrapolated from such narrow views, more often than not they fail to achieve the parsimony of effort, the breadth of application, and the maximum of efficiency that one would hope for. In our opinion, it is impossible adequately to conceptualize person ality development, symptom formation, or responses to psychotherapy, without taking into consideration theories of conflict as well as those of learning.




Psychoanalytic Therapy and Behavior Therapy


Book Description

This book has a question mark in its title because it aims to invite inquiry. The possibility of integrating psychoanalytic and behavior therapies has been controversial since it was first proposed about 50 years ago, and this has elicited a wide range of reactions from both psychologists and psy chiatrists. It was with the hope of fostering constructive interchange that this book was conceived. We wanted to spark further thinking about the question in the title in a way that could lead either to conceptual and clinical progress toward an integrated approach or to a clearer sense of the obstacles involved. In either case, we hoped that it would present a healthy challenge to current forms of psychoanalytic and behavior therapies. The present volume was stimulated by the appearance in 1977 of Paul Wachtel's book Psychoanalysis and Behavior Therapy: Toward an Integration. Al though many reviewers did not necessarily agree with Wachtel's proposals for integration, they (and we) were highly laudatory of his attempt. After reading the book, Hal Arkowitz organized a symposium on integration that took place in Chicago at the November 1978 meeting of the Association for the Advancement of Behavior Therapy. The symposium included Cyril Franks, Merton Gill, Hans Strupp, Paul Wachtel, and Michael Merbaum as moderator. Arkowitz subsequently proposed to edit a book on integra tion and invited Messer to be coeditor.




Handbook of Psychotherapy Integration


Book Description

The 13 years between the publication of the original edition of the handbook and this second edition have been marked by memorable growth in psychotherapy integration. The original classic was the first compilation of the early integrative approaches and was hailed by one reviewer as "the bible of the integration movement." In the interim, psychotherapy integration has grown into a mature, empirically supported, and international movement. This second edition provides a state-of-the-art, comprehensive description of psychotherapy and its clinical practices by leading proponents. In addition to updates of all of the chapters, the new edition features: (1) eight new chapters covering topics such as cognitive-analytic therapy, integrative psychotherapy with culturally diverse clients, cognitive-behavioral analysis system, and blending spirituality with psychotherapy, (2) an entirely new section with two chapters on assimilative integration, (3) updated reviews of the empirical research on integrative and eclectic treatments, (4) chapter guidelines that facilitate comparative analyses and ensure comprehensiveness, and (5) a summary outline to help readers compare the integrative approaches. Blending the best of clinical expertise, empirical research, and theoretical pluralism, the revision of this "integration bible" will prove invaluable to practitioners, researchers, and students alike.




Psychodynamic Approaches to Behavioral Change


Book Description

Behavioral change in psychoanalytic treatments -- Psychoanalytic understanding of factors that impede behavioral change -- Identifying and addressing risks in targeting behavioral change -- Psychodynamic techniques in addressing behavioral change -- A framework for targeting behavioral change -- Identifying dynamic contributors to problematic behaviors -- Identifying alternative behaviors -- Identifying interfering factors in performing alternative behaviors -- Working with the degree and impact of behavioral change -- Specific behavioral problems and engaging the patient in addressing them -- Addressing behavioral problems related to adverse developmental experiences and trauma




Tradition and innovation in Psychoanalytic Education


Book Description

This book, a record of the Clark Conference sponsored by the APA, consists of a series of papers on psychoanalytic education. The book is dedicated to the memory of Helen Block Lewis, who realized the necessity for detailed re-examination and further development of all ideas in psychoanalysis.




Handbook of Psychology, Clinical Psychology


Book Description

Includes established theories and cutting-edge developments. Presents the work of an international group of experts. Presents the nature, origin, implications, an future course of major unresolved issues in the area.




Resistance


Book Description

RESISTANCE AND THE PROCESS OF THERAPEUTIC CHANGE Paul L. Wachtel Psychotherapy, whether practiced from a psychodynamic or a behavioral point of view,! is rarely as straightforward as textbooks and case reports usually seem to imply. More often the work proceeds in fits and starts (and often does not seem to be proceeding at all, but rather unraveling or moving backward). The "typical" case is in fact quite atypical. Almost all cases present substantial difficulties for which the therapist feels, at least some of the time, quite unprepared. Practicing psychotherapy is a difficult-if also rewarding-way to earn a living. It is no profession for the individual who likes certainty, predictability, or a fairly constant sense that one knows what one is doing. There are few professions in which feeling stupid or stymied is as likely to be a part of one's ordinary professional day, even for those at the pinnacle of the field. Indeed, I would be loath to refer a patient to any therapist who declared that he almost always felt effective and clear about what was going on. Such a feeling can be maintained, I believe, only by an inordinate amount of bravado and lack of critical self-reflection. But the therapist trying to get some ideas about how to work with 1 These are, of course, not the only two points of view in psychotherapy; nor do I believe they are the only two of value.




Enhancing Psychodynamic Therapy with Cognitive-behavioral Techniques


Book Description

Defending theoretical areas may be one way to cope with external impingments on clinical practice, but advancements are needed to enhance and improve the work. This text explores an approach based on applying cognitive-behaviour techniques in psychodynamic clinical practice. It aims to help understand, theoretical and practical, of the strengths and limitations of the approach, as well as how to determine when to combine approaches when treating couples, children, adolescents, older adults, even cases of abuse and chemical dependency.




Theoretical Foundations of Behavior Therapy


Book Description

In this book we have attempted to confront a number of issues that are intimately related to the theoretical basis of behavior therapy. We believe that behavior therapy is an extremely efficient procedure for the treatment of neurotic disorders; that it is based on certain principles derived from learning theory; and that it is unique in using basic scientific principles in psychology in the service of applied and practical ends. We believe that we are here dealing with much more than the advantageous use of serendipitous borrowings from nonexistent principles, the cookbook collection of precepts, methods, and working rules that happen to have lasting effects. We also believe that there is truly a general principle unde. rlying behavior therapy, rather than a varied mass of nonintegrated therapies that have little in common other than a name. These beliefs are often contes ted, but usually those who oppose them do so on the basis of misconceptions and misunderstandings that indicate a lack of knowledge of fundamental facts. It is the purpose of this book to remove these misconceptions and misunderstandings, and to bring up to date our knowledge in certain fundamental areas of learning theory, behavior therapy, and the biological foundations of per sonality and individual differences. There are three major groups of misconceptions and misunderstandings. The first of these relates to beliefs held by many psychiatrists and cognitive psychologists relating to behavior therapy.




Comprehensive Handbook of Psychotherapy Integration


Book Description

This unique handbook covers the consensuses and controversies surrounding traditional and nontraditional psychotherapeutic methodologies as related to individuals and specific subpopulations. It is the most comprehensive, integrative resource available to the graduate level student and to the practicing clinician.